CAJ | 학술논문

目的评价耳穴贴压对阿片类便秘患者便秘相关症状和生活质量的影响.方法将符合纳入、排除标准的60例阿片相关性便秘患者采用随机数字表法分为干预组和对照组(乳果糖)各30例.干预组采用前期探查出的阿片类便秘人群阳性率较高的耳穴点结合辨证取穴进行干预;对照组给予乳果糖口服溶液15 ml/次,3次/d,同时结合便秘常规护理.运用阿片类便秘专用评估量表(BFI)、自制伴随症状量表、生活质量测定量表(PAC-QOL)对2组干预前后的便秘相关症状和生活质量水平进行测试,同时测定干预组停止干预2周后的持续效果.结果 2组干预前后BFI、PAC-QOL各维度及总分得分下降水平比较差异均有统计学意义,2组干预前后伴随症状各条目得分较干预前略低,但得分下降水平组间比较差异无统计学意义.干预组2周后的随访发现耳穴贴压的远期疗效与干预前比较差异有统计学意义,但与干预后即时相比则明显降低,便秘症状和生活质量得分值都有所回升.结论科学合理的选穴处方辨证干预阿片类便秘可有效改善便秘症状,提高患者的生活质量.
목적 평개이혈첩압대아편류편비환자편비상관증상화생활질량적영향.방법 장부합납입、배제표준적60례아편상관성편비환자채용수궤수자표법분위간예조화대조조(유과당)각30례.간예조채용전기탐사출적아편류편비인군양성솔교고적이혈점결합변증취혈진행간예;대조조급여유과당구복용액15 ml/차,3차/d,동시결합편비상규호리.운용아편류편비전용평고량표(BFI)、자제반수증상량표、생활질량측정량표(PAC-QOL)대2조간예전후적편비상관증상화생활질량수평진행측시,동시측정간예조정지간예2주후적지속효과.결과 2조간예전후BFI、PAC-QOL각유도급총분득분하강수평비교차이균유통계학의의,2조간예전후반수증상각조목득분교간예전략저,단득분하강수평조간비교차이무통계학의의.간예조2주후적수방발현이혈첩압적원기료효여간예전비교차이유통계학의의,단여간예후즉시상비칙명현강저,편비증상화생활질량득분치도유소회승.결론 과학합리적선혈처방변증간예아편류편비가유효개선편비증상,제고환자적생활질량.
Objective To explore the effect of auricular plaster therapy on associated symptoms and quality of life in patients with constipation induced by strong opioid drugs for pain.Methods A total of 60 patients selected were randomly divided into the intervention group and the control group with 30 cases in each group.The intervention group was treated with auriculotherapy based on the pattern/syndrome differentiation after detecting the auricular sensitive acupoints' distribution in patients with opioid-induced constipation after receiving opioid therapy.BFI,self-made scale on symptoms accompanied by constipation and PAC-QOL were used to collect data about constipation symptoms and the level of quality of life before or after the intervention,and still with a subset of the intervention group followed for more than two weeks.Results The BFI and PAC-QOL scores of the intervention and control group were lower after intervention,and the decline score of the two groups showed significant difference.But for the self-made scale,the score of each item was slightly lower compared with that before treatment,which showed no statistically significant difference between groups.A follow-up of 2 weeks showed that the long-term efficacy of auricular plaster therapy was significantly lower than before,but was less desirable than short-term.Conclusions Scientific and reasonable choice of acupoint prescription according to syndrome differentiation can effectively improve symptoms accompanied by constipation and patients' quality of life.